DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RICKIE WILSON, CRNA

Active Sole Proprietor

RICKIE WILSON, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in ROCKFORD, Illinois. NPI 1417387119 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · ROCKFORD, IL

Registration Details

NPI Number
1417387119
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2013 (12.761149214622 yrs)
Last Updated
Nov 15, 2013
License
209.010905 (IL)
Sole Proprietor
Yes

Practice Information

Address
1422 E STATE ST
APT # 5
ROCKFORD, IL, 611042338
Browse IL providers · Browse ZIP 61104
Phone
4147020234
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in ROCKFORD, IL

Name Credential NPI
JASON C STERN CRNA 1699229369
ELVIS KASI CRNA 1972000438
MR. SALMAN NAFEES CRNA 1881293348
ABDULMATEEN QAISAR CRNA 1518556786
FRANCIS JOSEPH MINOR 1407439995
ANTHONY ENRICO 1003499278
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.